Mitchell Anesthesia PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

0250 Issued in SD

Legal business name

MITCHELL ANESTHESIA PC

Practice address

525 N Foster St
Mitchell, SD 57301-2966

Phone

(605) 995-2000

Fax

(605) 995-5645

NPI assigned

Jul 16, 2006

Last updated

Feb 21, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John M Van Erdewyk, MDNPI 1154344711

Title

Provider

Phone

(605) 995-2000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John M Van Erdewyk, MD

  • Anesthesiology Physician
  • Mitchell, SD
  • NPI 1154344711
  Medicare reassignment NPD Authorized official
• Phillip J Becker, MD

  • Anesthesiology Physician
  • Mitchell, SD
  • NPI 1427092634
  Medicare reassignment NPD
• Michael S Haley Jr., MD

  • Anesthesiology Physician
  • Mitchell, SD
  • NPI 1801819461
  Medicare reassignment NPD
• Frank P Nellans, M.D.

  • Anesthesiology Physician
  • Saint Cloud, MN
  • NPI 1992796460
  NPD (past)
• Joseph Dominic Tricarico, MD

  • Anesthesiology Physician
  • Rochester, MN
  • NPI 1497709877
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1952328767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5126",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175126",
            "telephone_number": "605-335-1952",
            "fax_number": "605-373-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N FOSTER ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012966",
            "telephone_number": "605-995-2000",
            "fax_number": "605-995-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "VAN ERDEWYK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "605-995-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SD",
            "license": "0250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GROUP",
            "identifier": "0003527",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025039000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid Dakota Podiatry
• Theresa Miiller, CNP
• Kelley Lynn Millione, LPC
• Jai Mimmack
• Paul R Miskimins, DDS
• Mitchell Bone and Joint Surgery
• Mitchell Chiropractic & Acupuncture Center, P.C.
• Mitchell Clinic LTD
• Mitchell Dental Clinic LLC (The Dental Clinic)
• Mitchell Diagnostic

• Anesthesiology Physician in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Anesthesiology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.